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Name
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4-0
4-1
4-2
4-3
4-4
4-5Q
Text to Show
Type
You are called to a delivery
of a 28 week premie.
Sceen text
4-1.mov
4-2.mov
4-3.mov
4-4.mov
What are the first steps in
caring for this newborn?
Per
cent
(A)
100
Go to Step (A)
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Quiz_question
100
100
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4-2
4-3
4-4
4-5Q
100
4-1
Per
cent (B)
Go to
Step
(B)
Text to add to Summary
Wrong Answer Feedback
You are called to a delivery of a 28
week premie.
You were asked, “What are the first
steps in caring for this newborn?”
You correctly answered, “Wrap
the neonate in polyethylene
plastic wrap.”
Wrapping the patient in
polyethylene plastic wrap up to
the neck on a radiant warmer is
more effective at conserving heat
in a premature newborn than
drying coupled with radiant heat.
Careful attention must be paid to
prevent both hypothermia and
hyperthermia.
Wrapping the patient in
polyethylene plastic wrap
up to the neck on a radiant
warmer is more effective at
conserving heat in a
premature newborn than
drying coupled with radiant
heat. Careful attention must
be paid to prevent both
hypothermia and
hyperthermia.
Quiz_option
You answered, “Stimulate the baby
by vigorously rubbing her back.”
Vigorous stimulation of a premature
newborn is not warranted.
Persistent bradycardia, apnea or
hypopnea in a premature neonate
unresponsive to gentle stimulation
should be treated with positive
pressure ventilation.
Vigorous stimulation of a
premature newborn is not
warranted. Persistent
bradycardia, apnea or
hypopnea in a premature
neonate unresponsive to
gentle stimulation should be
treated with positive pressure
ventilation.
Suction the nasopharynx,
oropharynx and stomach
Quiz_option
You answered, “Suction the
nasopharynx, oropharynx and
stomach.” Suctioning is indicated
only when obstruction of the airway
is suspected.
Suctioning is indicated only
when obstruction of the airway
is suspected.
Deliver 100% oxygen by
Quiz_option
You answered, “Deliver 100%
Other resuscitative measures
4-5Q
Wrap the neonate in
polyethylene plastic wrap
Quiz_option_right
4-5Q
Stimulate the baby by
vigorously rubbing her back
4-5Q
4-5Q
4-5
blowby
4-5
4-5A_Q
4-5.mov
oxygen by blowby.” Other
resuscitative measures (drying,
warming, stimulating) should be
undertaken prior to delivery of
oxygen.
Movie_only
At this time what should be
done?
Suction the oropharynx and
nasopharynx
Quiz_question
4-5A_Q
Administer oxygen by face
mask
Quiz_option
4-5A_Q
Place the patient on an
oximeter
Quiz_option_right
4-5A_Q
100
4-5A_Q
You were asked, “At this time what
should be done?”
You answered, “Suction the
oropharynx and nasopharynx.”
Suctioning is indicated only when
obstruction of the airway is
suspected. In this premature
newborn it is important to balance
the need to give sufficient oxygen to
correct hypoxemia with the risks of
oxygen toxicity. An oximeter should
be used to titrate the oxygen to
achieve the desired hemoglobin
oxygen saturation.
Quiz_option
You answered, “Administer oxygen
by face mask.” In this premature
newborn it is important to balance
the need to give sufficient oxygen to
correct hypoxemia with the risks of
oxygen toxicity. An oximeter should
be used to both assess the need for
supplemental oxygen and titrate the
oxygen to achieve the desired
hemoglobin oxygen saturation.
100
(drying, warming, stimulating)
should be undertaken prior to
delivery of oxygen.
4-5A
You correctly answered, “Place
the patient on an oximeter.” An
oximeter should be used to both
assess the need for supplemental
oxygen and titrate the oxygen to
achieve the desired hemoglobin
oxygen saturation.
Suctioning is indicated only
when obstruction of the airway
is suspected. In this
premature newborn it is
important to balance the need
to give sufficient oxygen to
correct hypoxemia with the
risks of oxygen toxicity. An
oximeter should be used to
titrate the oxygen to achieve
the desired hemoglobin
oxygen saturation.
In this premature newborn it is
important to balance the need
to give sufficient oxygen to
correct hypoxemia with the
risks of oxygen toxicity. An
oximeter should be used to
both assess the need for
supplemental oxygen and
titrate the oxygen to achieve
the desired hemoglobin
oxygen saturation.
4-5A
4-5B_Q
4-5a.mov
Movie_only
100
4-5B_Q
You were asked, “At this time what
should be done?”
You answered, “Plug the oximeter
probe into the oximeter.” The most
rapid acquisition of signal is
obtained when the probe is placed
on the patient prior to being plugged
into the oximeter.
At this time what should be
done?
Plug the oximeter probe
into the oximeter
Quiz_question
4-5B_Q
Attach the oximeter probe
to the newborn’s left wrist
Quiz_option
You answered, “Attach the oximeter
probe to the newborn’s left wrist.”
The most rapid acquisition of signal
is obtained when the probe is
placed on the patient prior to being
plugged into the oximeter. The
probe is placed on the right wrist in
order to sample blood that is not
mixed with deoxygenated blood
shunting from right-to-left across the
ductus arteriosus (which may
remain patent for hours after birth).
This provides a more accurate
assessment of pulmonary function.
Placement on the left wrist may not
provide this information.
The most rapid acquisition of
signal is obtained when the
probe is placed on the patient
prior to being plugged into the
oximeter. The probe is placed
on the right wrist in order to
sample blood that is not mixed
with deoxygenated blood
shunting from right-to-left
across the ductus arteriosus
(which may remain patent for
hours after birth). This
provides a more accurate
assessment of pulmonary
function. Placement on the
left wrist may not provide this
information.
4-5B_Q
Attach the oximeter probe
to the newborn’s left foot
Quiz_option
You answered, “Attach the oximeter
probe to the newborn’s left foot.”
The most rapid acquisition of signal
is obtained when the probe is
placed on the patient prior to being
plugged into the oximeter. The
probe is placed on the right wrist in
order to sample blood that is not
mixed with deoxygenated blood
shunting from right-to-left across the
ductus arteriosus (which may
remain patent for hours after birth).
This provides a more accurate
assessment of pulmonary function.
Placement on the left foot may not
provide this information.
The most rapid acquisition of
signal is obtained when the
probe is placed on the patient
prior to being plugged into the
oximeter. The probe is placed
on the right wrist in order to
sample blood that is not mixed
with deoxygenated blood
shunting from right-to-left
across the ductus arteriosus
(which may remain patent for
hours after birth). This
provides a more accurate
assessment of pulmonary
function. Placement on the
left foot may not provide this
information.
4-5B_Q
Quiz_option
The most rapid acquisition of
signal is obtained when the
probe is placed on the patient
prior to being plugged into the
oximeter.
4-5B_Q
Attach the oximeter
probe to the newborn’s
right wrist
4-5B
4-5b.mov
4-6
4-6A_Q
4-6.mov
What is a reasonable
amount of oxygen to use
when starting CPAP in a
premature newborn?
Quiz_option_right
100
4-5B
Movie_only
100
4-6
Movie_only
Quiz_question
100
4-6A_Q
4-6A_Q
21%
Quiz_option
4-6A_Q
30%
Quiz_option_right
You correctly answered, “Attach
the oximeter probe to the
newborn’s right wrist.” The most
rapid acquisition of signal is
obtained when the probe is
placed on the patient prior to
being plugged into the oximeter.
The probe is placed on the right
wrist in order to sample blood
that is not mixed with
deoxygenated blood shunting
from right-to-left across the
ductus arteriosus (which may
remain patent for hours after
birth). This provides a more
accurate assessment of
pulmonary function.
You were asked, “What is a
reasonable amount of oxygen to
use when starting CPAP in a
premature newborn?”
You answered, “21%” It is important
to balance the need to give
sufficient oxygen to correct
hypoxemia with the risks of oxygen
toxicity in the newborn, especially in
premature newborns. Although the
optimal concentration of oxygen to
be initially delivered to a premature
neonate is unknown, studies have
shown that 21% may not be
sufficient to achieve desired levels
of hemoglobin oxygen saturation.
Using a concentration slightly above
21% is a reasonable starting point.
An oximeter should be used to
titrate the oxygen to achieve the
desired hemoglobin oxygen
saturation.
100
4-6AA_Q
You correctly answered, “30%” It
is important to balance the need
It is important to balance the
need to give sufficient oxygen
to correct hypoxemia with the
risks of oxygen toxicity in the
newborn, especially in
premature newborns.
Although the optimal
concentration of oxygen to be
initially delivered to a
premature neonate is
unknown, studies have shown
that 21% may not be sufficient
to achieve desired levels of
hemoglobin oxygen saturation.
Using a concentration slightly
above 21% is a reasonable
starting point. An oximeter
should be used to titrate the
oxygen to achieve the desired
hemoglobin oxygen saturation.
to give sufficient oxygen to
correct hypoxemia with the risks
of oxygen toxicity in the
newborn, especially in premature
newborns. Although the optimal
concentration of oxygen to be
initially delivered to a premature
neonate is unknown, studies
have shown that 21% may not be
sufficient to achieve desired
levels of hemoglobin oxygen
saturation. Using a
concentration slightly above 21%
is a reasonable starting point. An
oximeter should be used to titrate
the oxygen to achieve the desired
hemoglobin oxygen saturation.
4-6A_Q
50%
Quiz_option
You answered, “50%” It is important
to balance the need to give
sufficient oxygen to correct
hypoxemia with the risks of oxygen
toxicity in the newborn, especially in
premature newborns. Although the
optimal concentration of oxygen to
be initially delivered to a premature
neonate is unknown, studies have
shown that 21% may not be
sufficient to achieve desired levels
of hemoglobin oxygen saturation.
Using a concentration slightly above
21% is a reasonable starting point.
An oximeter should be used to
titrate the oxygen to achieve the
desired hemoglobin oxygen
saturation.
It is important to balance the
need to give sufficient oxygen
to correct hypoxemia with the
risks of oxygen toxicity in the
newborn, especially in
premature newborns.
Although the optimal
concentration of oxygen to be
initially delivered to a
premature neonate is
unknown, studies have shown
that 21% may not be sufficient
to achieve desired levels of
hemoglobin oxygen saturation.
Using a concentration slightly
above 21% is a reasonable
starting point. An oximeter
should be used to titrate the
oxygen to achieve the desired
hemoglobin oxygen saturation.
4-6A_Q
100%
Quiz_option
You answered, “100%” It is
important to balance the need to
give sufficient oxygen to correct
hypoxemia with the risks of oxygen
toxicity in the newborn, especially in
premature newborns. Although the
optimal concentration of oxygen to
be initially delivered to a premature
neonate is unknown, starting with
100% is usually not indicated and is
likely to produce excessively high
hemoglobin oxygen saturation
It is important to balance the
need to give sufficient oxygen
to correct hypoxemia with the
risks of oxygen toxicity in the
newborn, especially in
premature newborns.
Although the optimal
concentration of oxygen to be
initially delivered to a
premature neonate is
unknown, starting with 100%
is usually not indicated and is
levels. An oximeter should be used
to titrate the oxygen to achieve the
desired hemoglobin oxygen
saturation.
4-6AA_Q
You were asked, “What is a
reasonable amount of pressure to
use when starting CPAP in a
premature newborn?”
You answered, “3 cm H2O.”
Although the optimal pressure to be
used when starting CPAP in a
premature neonate is unknown, it is
important to both provide sufficient
distending pressure to prevent/treat
atelectasis while avoiding the risk of
overdistension. In general 4 to 6
cm H2O is sufficient to achieve this.
likely to produce excessively
high hemoglobin oxygen
saturation levels. An oximeter
should be used to titrate the
oxygen to achieve the desired
hemoglobin oxygen saturation.
Quiz_question
4-6AA_Q
What is a reasonable
amount of pressure to use
when starting CPAP in a
premature newborn?
3 cm H2O
4-6AA_Q
5 cm H2O
Quiz_option_right
4-6AA_Q
8 cm H2O
Quiz_option
You answered, “8 cm H2O.”
Although the optimal pressure to be
used when starting CPAP in a
premature neonate is unknown, it is
important to both provide sufficient
distending pressure to prevent/treat
atelectasis while avoiding the risk of
overdistension. In general 4 to 6
cm H2O is sufficient to achieve this.
Although the optimal pressure
to be used when starting
CPAP in a premature neonate
is unknown, it is important to
both provide sufficient
distending pressure to
prevent/treat atelectasis while
avoiding the risk of
overdistension. In general 4
to 6 cm H2O is sufficient to
achieve this.
4-6AA_Q
10 cm H2O
Quiz_option
You answered, “10 cm H2O.”
Although the optimal pressure to be
used when starting CPAP in a
Although the optimal pressure
to be used when starting
CPAP in a premature neonate
Quiz_option
100
4-6AA
Although the optimal pressure
to be used when starting
CPAP in a premature neonate
is unknown, it is important to
both provide sufficient
distending pressure to
prevent/treat atelectasis while
avoiding the risk of
overdistension. In general 4
to 6 cm H2O is sufficient to
achieve this.
You correctly answered, “5 cm
H2O.” Although the optimal
pressure to be used when
starting CPAP in a premature
neonate is unknown, it is
important to both provide
sufficient distending pressure to
prevent/treat atelectasis while
avoiding the risk of
overdistension. In general 4 to 6
cm H2O is sufficient to achieve
this.
premature neonate is unknown, it is
important to both provide sufficient
distending pressure to prevent/treat
atelectasis while avoiding the risk of
overdistension. In general 4 to 6
cm H2O is sufficient to achieve this.
4-6AA
4-6a.mov
Movie_only
100
END
is unknown, it is important to
both provide sufficient
distending pressure to
prevent/treat atelectasis while
avoiding the risk of
overdistension. In general 4
to 6 cm H2O is sufficient to
achieve this.